Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $3,311.31	Facility		$1,318.26	$2,511.89	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,235.94	Professional		$1,258.93	$1,659.59	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $4,786.30	Facility		$1,000.00	$2,570.40	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $3,311.31	Professional		$1,621.81	$2,511.89	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $2,511.89	Facility		$933.25	$2,238.72	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,715.35	Professional		$1,621.81	$2,398.83	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $10,232.93	Professional		$1,258.93	$2,041.74	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $12,022.64	Facility		$1,737.80	$6,456.54	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $3,467.37	Professional		$1,318.26	$2,089.30	$3,467.37